05D2296053 CLIA NUMBER - CONCIERGE MEDICAL, INC.

Laboratory Demographics

  • CLIA Code: 05D2296053
  • Facility Name: CONCIERGE MEDICAL, INC.
  • Facility Address: 900 W SEVENTH ST #102
    VISALIA, CA
    ZIP 93291
  • Facility Phone: 559 530-3029
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUDESH NAGAVALLI
  • NPI Number: 1194124586
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2296053
LAB Type Physician Office
Facility Name CONCIERGE MEDICAL, INC.
Street 900 W SEVENTH ST #102
City VISALIA
State CA
ZIP 93291
Phone 559 530-3029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director SUDESH NAGAVALLI

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This page was last updated on: 9/29/2025